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Buku Pengunjung Pojok Statistik
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* Indicates required question
Nama ( Sesuai KTP )
*
Your answer
Tanggal Lahir (MM,DD,YYYY)
*
MM
/
DD
/
YYYY
Nomor HP ( 081XXXXXXXXX )
*
Your answer
Jenis Kelamin
*
Laki-Laki
Perempuan
Pendidikan Tertinggi Yang Ditamatkan
*
SMA sederajat
D1/D2/D3
D4/S1
S2
S3
Pekerjaan Utama
*
Pelajar/ Mahasiswa
Dosen
Other:
Maksud/Tujuan Kunjungan ke Pojok Statistik
*
Mencari Data
Konsultasi Statistik
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